Provider Demographics
NPI:1447439559
Name:CHARCHIAN, BENY BEHNAM (MD, MS)
Entity type:Individual
Prefix:DR
First Name:BENY
Middle Name:BEHNAM
Last Name:CHARCHIAN
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:9730 WILSHIRE BLVD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2022
Mailing Address - Country:US
Mailing Address - Phone:310-274-1500
Mailing Address - Fax:
Practice Address - Street 1:9730 WILSHIRE BLVD
Practice Address - Street 2:SUITE #110
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2022
Practice Address - Country:US
Practice Address - Phone:310-274-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA103349208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine